Individual
SHANNON GLENN-OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 5TH ST S STE C540, ST PETERSBURG, FL 33701-4804
(727) 767-8917
Mailing address
601 5TH ST S STE C540, ST PETERSBURG, FL 33701-4804
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME149937
FL
Other
Enumeration date
04/17/2018
Last updated
09/04/2025
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